Hand Hygiene
- Introduction
Hands
are a primary source of infection transmission in all community, health care
settings and residential contexts, as well as in industrial settings like the
food sector. So, it is impossible to undervalue the significance of hand
cleanliness in the prevention of infection.
Even
though hand hygiene has received more attention in the medical literature,
there are still a lot of unanswered and unresolved inquiries and questions.
Hand
hygiene is the cornerstone of most of the infection
prevention and control (IPC) programs since it is recognized as the single
most significant way to stop the spread of infection.
Promoting
good hand hygiene is essential for both staff and patient safety. HCWs must be
knowledgeable about hand hygiene guidelines and continuously follow them for
patient safety and infection prevention and control strategies to be effective.
HCWs still
generally have poor compliance with hand hygiene regulations, despite that many
countries have established or adopted hand hygiene guidelines. For infection
preventionist in all healthcare settings, improving hand hygiene is still a
struggle and ongoing challenge.
Lack
of knowledge, increased demands with less time, dry and irritated hands, lack
of soap and paper towels, inaccessible sinks, lack of sinks, forgetfulness,
doubting the benefits of handwashing, absence of role models, lack of
administrative priority for hand hygiene, and absence of administrative
sanctions are some of the factors contributing to poor adherence and
compliance.
HCWs
use alcohol-based hand sanitizers for the past 20 years. Alcohol-based hand rub
(ABHR) should be used preferentially, and in all healthcare, facilities should
monitor and improve hand hygiene, according to the World
Health Organization's (WHO) 2009 hand hygiene guidelines.
The
current standard for regular hand hygiene in healthcare settings is to use
alcohol-based, waterless hand rubs, unless the hands are obviously dirty.
Facilities should supply an easily accessible alcohol-based hand sanitizer
product to HCWs, according to guidelines from the Centers for Disease Control
and Prevention (CDC) and WHO.